A 5-year-old child with a history of hypopituitarism presents ...

[Jramos095]

A 5-year-old child with a history of hypopituitarism presents with complaints of right hip and leg pain. Which prescribed medication for the diagnosis should the nurse identify as the cause for the current symptoms?
 
  1. Daily growth hormone
  2. Insulin before meals and bedtime
  3. DDAVP (desmopressin) at bedtime
  4. Cortisone injections

Question 2

On the second day postpartum, the client who is bottlefeeding experiences engorgement. Which should the nurse encourage to enhance the client's comfort?
 
  1. Removing her bra
  2. Applying heat to her breasts
  3. Applying ice packs to her breasts
  4. Limiting breastfeeding to twice daily

[LegendaryAnswers]

Answer to Question 1

1
Explanation:
1. Growth hormone injections and hypopituitarism have been associated with slipped capital femoral epiphysis, which manifests with complaints of hip or knee pain.
2. Insulin is not used to treat hypopituitarism.
3. DDAVP reduces urinary output. It does not cause slipped capital femoral epiphysis.
4. Cortisone is not used for hypopituitarism.

Answer to Question 2

3
Explanation:
1. Removing her bra will only serve to increase breast milk production. A tight-fitting bra should be worn at all times for 5 to 7 days and only removed when showering.
2. Applying heat will promote breast milk production.
3. Applying ice packs to the breasts relieves discomfort through the numbing effect of ice.
4. Limiting breastfeeding to twice per day actually would decrease the flow of breast milk eventually, and would not serve to decrease the discomfort of the mother.